Bladder necrosis presenting with hematuria in a patient with sickle-cell disease.
We present an interesting case of bladder necrosis in an 11-year-old boy with sickle-cell disease. The patient initially presented with sudden onset of abdominal pain and went on to have gross hematuria with clots and severe dysuria. Cysto-urethroscopy revealed global hemorrhagic cystitis and a suprapubic catheter was inserted percutaneously during cystoscopy. The symptoms spontaneously resolved over several weeks and the child voids normally at last follow-up. Multiple bladder biopsies were taken and all were completely necrotic.
Johal
N S
NS
Department of Paediatric Urology, Institute of Urology, University College Hospital, London, UK. navjohal@hotmail.com
Desai
D
D
Freeman
A
A
Cuckow
P M
PM